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March 1960

Hypnosis and Dermabrasion

Author Affiliations

New Orleans

From the Division of Dermatology, Department of Medicine, Tulane University School of Medicine and Charity Hospital of Louisiana.

AMA Arch Derm. 1960;81(3):378-380. doi:10.1001/archderm.1960.03730030036005

Recent official recognition of the science of hypnosis by national medical groups in this country1 and abroad2 has led to expansion of its medical application. Dermatologists, early to recognize its value in the suggestive treatment of warts, have applied it to other dermatoses, including neurodermatitis, eczema, idiopathic pruritus, and dermatitis artefacta. Experience herein reported suggests still another application, i.e., in dermabrasion.

Whereas local refrigerant anesthesia for dermabrasion has advantages over the general anesthesia required for other technics, such as sandpaper abrasion, freezing to board-like hardness produces considerable discomfort before anesthesia is obtained. Prechilling packs, as recommended by Kurtin,3 do little to eliminate the shock and sting of the refrigerant spray. Furthermore, the usual apprehension associated with procedures involving local anesthesia seems to be accentuated in the average planing patient, despite time-consuming preoperative indoctrination and use of modern tranquilizers. In extensive planings, such as those involving the entire

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